The health care organization has decided to begin using a new computerized documentation system. The nurse manager's unit has been selected to pilot the new documentation system
Which of the following staff nurse's responses might be expected during the initial phase of the pilot? Select all that apply.
1. "If you use this screen for your neurological assessment, you won't have to go to that other screen to document the Glasgow Coma Scale assessment."
2. "I'm excited about this. I think it's going to be a much better way to document."
3. "This doesn't work as well as our old system."
4. "So, is it really faster for you? I feel like it's taking me a longer time to get my assessment documented."
5. "Maybe we could keep the old system in place as a backup until we get the new system going well."
Answer: 1; 2; 3; 4; 5
Rationale:
• "If you use this screen for your neurological assessment, you won't have to go that other screen to document the Glasgow Coma Scale assessment." This response is an example of education, support, and idea sharing that can happen between people experiencing change. This is a common response to change. These people are facilitating change.
• "I'm excited about this. I think it's going to a much better way to document." Some staff members are going to acclimate quickly and want to use the new system. Some people adapt to change quickly and others are never able to fully adjust to the change. This is a common response to change.
• "This doesn't work as well as our old system." This statement indicates that the nurse is feeling resentful about the change process to the new documentation system. Resistance is expected as people move through "losing" the old system. This is a common response to change.
• "So, is it really faster for you? I feel like it's taking me a longer time to get my assessment documented." This response is an example of support and idea sharing that occurs between people involved in the change process. This is a common response.
• "Maybe we could keep the old system in place as a backup until we get the new system going well." This statement is an example of an attempt to negotiate with the nurse manager to slow the pace of the change. This is a common response to change.
You might also like to view...
The mother of a 2-year-old child becomes very anxious when the child has a temper tantrum in the medical office. The appropriate nursing response to the mother would be to say:
1. "What do you usually do or say during a temper tantrum?" 2. "Let's ignore this behavior. It will stop sooner." 3. "Pick up and cuddle your child now, please." 4. "This is definitely a temper tantrum. I know exactly what you are feeling right now."
The diagnosis of pregnancy is based on which positive signs of pregnancy? Choose all that apply
a. Identification of fetal heartbeat b. Palpation of fetal outline c. Visualization of the fetus d. Verification of fetal movement e. Positive hCG test
A client diagnosed with paranoid schizophrenia has a history of aggravated assault. A nurse assigns "Risk for other-directed violence" as the client's priority nursing diagnosis
Based on this diagnosis, which would be an appropriate, correctly written outcome for this client? A. The client will not verbalize anger or hit anyone.B. The client will verbalize anger rather than hit others.C. The client will not inflict harm on others during this shift.D. The client will be restrained if verbal or physical abuse is observed during this shift.
A client complains of mild inflammation. Which medication would not be an appropriate choice to treat mild inflammation?
1. Ibuprofen (Advil) 2. Aspirin (ASA) 3. Naproxen sodium (Aleve) 4. Cyclosporine (Neoral)